Cardinal Glennon Footprints: Quality Assurance Good Death Tool
This is a survey used to assess a clinician's perception of care provided to a child enrolled in the Footprints pediatric palliative care program.
Evaluation Tools - Satisfaction/Perception of Care
SSM Cardinal Glennon Children's Hospital
1465 South Grand Boulevard
St. Louis, MO 63104
Mary Ann Collins, MHA
How the grantee used this instrument:
This questionnaire is mailed as soon as possible after the child's death to all key health care professionals involved in caring for the child.
pediatrics, perception of care, patient experience, care review, provider satisfaction
To use this tool:
You may print and copy this tool for your own use from this site. Please credit source.
Developed specifically for this project by the project team. Copyright © 2001 Footprints at SSM Cardinal Glennon Children's Hospital. All Rights Reserved.
To view this tool:
To view the tool in your browser left-click on the link below or to download to your computer right-click on the link.
PDF 125 KB / 4 pages
Posted June 30, 2003
SSM Cardinal Glennon Children's Hospital overview page
# GLEN11, type:satisfaction/perception_care
Promoting Excellence in End-of-Life Care was a national program of the Robert Wood Johnson Foundation dedicated to long-term changes in health care institutions to substantially improve care for dying persons and their families. Visit PromotingExcellence.org for more resources.